Organization Active NPI

Core Strong Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1265020564
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CORE STRONG PHYSICAL THERAPY LLC
Practice address
141 NW 20TH St Ste G2
Boca Raton, FL 33431-7964
Phone
(954) 701-1287
NPI assigned
Jan 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Valentyna NesterovaNPI 1568628113
Title
President/Owner
Phone
(954) 701-1287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

141 NW 20TH St Ste G2
Boca Raton, FL 33431-7964

Mailing address

141 NW 20TH St Ste G2
Boca Raton, FL 33431-7964
Phone (954) 701-1287

Other names 1

  • Core strong physical therapy LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210120001030 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1456764141 Receives reassigned benefits from 4 practitioners
Practice locations: Boca Raton, FL; Hallandale Beach, FL

National Provider Directory

National Provider Directory

Locations

141 NW 20th St
Ste G
Boca Raton, FL 33431
Phone (561) 757-6198

141 NW 20th St
Ste G2
Boca Raton, FL 33431
Phone (561) 757-6198

2500 E Hallandale Beach Blvd
Ste 609
Hallandale Beach, FL 33009
Phone (646) 338-5913

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1265020564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 NW 20TH ST STE G2",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317964",
            "telephone_number": "954-701-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 NW 20TH ST STE G2",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317964",
            "telephone_number": "954-701-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE STRONG PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "NESTEROVA",
        "authorized_official_first_name": "VALENTYNA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "954-701-1287"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core strong physical therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.